NPI | 1164957429 |
---|---|
Former Name | NATALYA DUNAEVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00203562) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-04-25 |
Last Update Date | 2024-12-12 |